{"title":"同时Mini-ECIRS和低能量TFL肾盂内切开术治疗复发性UPJO伴盆腔肾结石1例","authors":"Manapol Rujithamkul, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan","doi":"10.1016/j.eucr.2025.103190","DOIUrl":null,"url":null,"abstract":"<div><div>Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103190"},"PeriodicalIF":0.4000,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report\",\"authors\":\"Manapol Rujithamkul, Kun Sirisopana, Surawach Piyawannarat, Yada Phengsalae, Premsant Sangkum, Wisoot Kongchareonsombat, Chinnakhet Ketsuwan\",\"doi\":\"10.1016/j.eucr.2025.103190\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.</div></div>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"63 \",\"pages\":\"Article 103190\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-08-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S221444202500261X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221444202500261X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Simultaneous Mini-ECIRS and low-energy TFL endopyelotomy for recurrent UPJO with pelvic renal calculus: A case report
Recurrent ureteropelvic junction obstruction (UPJO) with renal calculi poses a surgical challenge. Miniature Endoscopic Combined Intrarenal Surgery (mini-ECIRS) with low-wattage Thulium Fiber Laser (TFL) enables simultaneous stone clearance and precise endopyelotomy. We report a case of a 51-year-old woman with recurrent UPJO and renal stones treated using mini-ECIRS and TFL-assisted retrograde endopyelotomy. Dual endoscopic access allowed effective stone fragmentation and accurate UPJ incision. Operative time was 75 min, with no complications. This case supports mini-ECIRS with low-energy TFL as a safe, single-session treatment for recurrent UPJO with renal stones.
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